woman with pre-diabetes and insulin resistance and PCOS

What is Pre-Diabetes or Insulin Resistance?

Insulin is a hormone made by the pancreas to help control blood sugar levels in the body. Insulin allows sugar to get from your blood into your cells in order to use it for fuel or store it for later use (as fat). If you have pre-diabetes or insulin resistance, the cells of the body aren’t paying attention to insulin very well.  So you are unable to access the sugar floating around in the blood stream for energy, and higher than normal amounts of insulin will need to be produced to get that sugar out of your blood and into your cells.  High insulin contributes to inflammation, weight gain and hormone imbalance. Pre-diabetes or insulin resistance, if untreated, can ultimately lead to diabetes.

What Causes Pre-Diabetes or Insulin Resistance?

  • lack of exercise/physical activity
  • sleep apnea
  • poor diet
  • being overweight
  • certain medications such as steroids and antidepressants
  • some medical conditions such as Cushing’s and PCOS
  • vitamin and mineral deficiencies

What are the signs and symptoms of Pre-Diabetes?

  • Excess thirst
  • Frequent urination
  • Weight gain
  • Hormone imbalances (excess estrogen or testosterone)
  • PCOS (Polycystic Ovarian Syndrome)
  • High cholesterol
  • High triglycerides
  • High HbA1c or glycated hemoglobin
  • High blood pressure
  • Metabolic Syndrome
  • Fatigue or muscle weakness
  • Gestational diabetes
  • Acanthosis nigricans (darkened patches of skin on the neck, underarms, elbows, knees, knuckles)

What is the Natural Treatment for Pre-Diabetes or Insulin Resistance?

Insulin resistance can often be helped by addressing a few areas such as:

  1. Exercise – lack of exercise is a risk factor for insulin resistance and is good for overall health
  2. Diet – a diet rich in whole foods, little/no refined sugar, good protein and healthy fats is important to reduce your risk factors for developing insulin resistance
  3. Stress Reduction – stress spikes cortisol, blood sugar and insulin.  Stress reduction techniques like yoga, meditation, breathing exercises, exercise and massage therapy can help.
  4. Naturopathic Medicine – our naturopathic doctors will work with you to help you manage your symptoms, prevent diabetes and get to the source of your insulin resistance through individualized:
    1. Diet modifications – increase fiber, vegetables, cinnamon and protein, decrease starches and sugars, increase omega 3 fatty acids
    2. Vitamins, minerals, enzymes – such as chromium, vanadium and zinc
    3. Botanicals – such as banaba, gymnema, momordica and cinnamon
    4. Exercise
    5. Stress reduction

Blood Tests for Pre-Diabetes:

HbA1c, 2 hour pc glucose and insulin, fasting blood sugar, fasting cholesterol, triglycerides, Glucose Tolerance Test WITH insulin measurements or a GTIR Test

Natural Treatment for Pre-Diabetes Research

Omega 3’s

Supplementation with omega-3 polyunsaturated fatty acids was found to improve markers of insulin resistance. Source: European Journal of Lipid Science and Technology, 2011.


Dehydroepiandrosterone (DHEA), a steroid hormone in the human body, was found to improve insulin resistance and inflammatory markers in the elderly. Source: Aging (Albany NY). 2011 May; 3(5): 533–542. [Elevated levels of DHEAs can be a sign of insulin resistance in PCOS]

LDL Cholesterol

Smaller and denser LDL particles are commonly found in metabolic syndrome (insulin resistance) patients.  Source: Complementary Prescriptions Journal, Vol.27, Issue 3, Feb 2013.